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BMS-833923

Phase 2

Advanced Cancer, Various, NOS | Small molecule | Oncology |Bristol-Myers Squibb Company|Trials Updated: Sep 30, 2016

BMS-833923 development status

Highest phase Phase 2 (NCT01357655)
Phase scored for BMYPhase 1
Registered trials 5 across 1 sponsor since Apr 2009

BMS-833923 target and mechanism

Molecular targetSMO
Target classAntagonist
ModalitySmall molecule

Also known as BMS-833923 (XL139)

Success Probability

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Market & Valuation

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Trial Design

ACTIVE_CONTROLLED
Total Trials5
Total Enrollment136

FDA Designations

No designations recorded

BMS-833923 clinical trials

BMS-833923 · 5 trials · 9 indications

Phase 1 5
NCT01413906Phase 1 Multiple Ascending Dose Study of BMS-833923 (XL139) in Subjects With Solid TumorsCancer
COMPLETED12 Analytics
NCT00927875A Study of BMS-833923 With Carboplatin and Etoposide Followed by BMS-833923 Alone in Subjects With Extensive-Stage Small Cell Lung CancerSmall Cell Lung Carcinoma
COMPLETED5 Analytics
NCT00909402A Study of BMS-833923 With Cisplatin and Capecitabine in Inoperable, Metastatic Gastric, Gastroesophageal, or Esophageal AdenocarcinomasStomach Neoplasms
COMPLETED39 Analytics
NCT00884546Multiple Ascending Dose (MAD) Combination in Subjects With Multiple MyelomaAdvanced Cancer, Various, NOS
COMPLETED27 Analytics
NCT00670189A Phase 1 Study of BMS-833923 (XL139) in Subjects With Advanced or Metastatic CancerHedgehog Pathway
COMPLETED53 Analytics
PHASE1COMPLETED
Phase 1 Multiple Ascending Dose Study of BMS-833923 (XL139) in Subjects With Solid Tumors
CancerUnlock trial analytics
PHASE1COMPLETED
A Study of BMS-833923 With Carboplatin and Etoposide Followed by BMS-833923 Alone in Subjects With Extensive-Stage Small Cell Lung Cancer
Small Cell Lung CarcinomaUnlock trial analytics
PHASE1COMPLETED
A Study of BMS-833923 With Cisplatin and Capecitabine in Inoperable, Metastatic Gastric, Gastroesophageal, or Esophageal Adenocarcinomas
Stomach NeoplasmsUnlock trial analytics
PHASE1COMPLETED
Multiple Ascending Dose (MAD) Combination in Subjects With Multiple Myeloma
Advanced Cancer, Various, NOSUnlock trial analytics
PHASE1COMPLETED
A Phase 1 Study of BMS-833923 (XL139) in Subjects With Advanced or Metastatic Cancer
Hedgehog PathwayUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Dose Limiting Toxicity (DLT) and observed adverse events
Within the first 28 days of treatment
Use NCI CTCAE to establish the MTD, DLT(s) and safety profile of BMS-833923 administered alone and in combination with carboplatin and etoposide
28 days

* NCI - National Cancer Institute * CTCAE - Common Terminology Criteria for Adverse Events * MTD - Maximum tolerated dose * DLT - Dose limiting toxicity

Use National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) to establish the MTD, Dose Limiting Toxicity (DLT(s)) and safety profile of BMS-833923 administered in combination with Cisplatin and Capecitabine
At a minimum on days 1, 8, 15 and 35 of cycle 1, days 1 & 14 for cycle 2 and every 21 days thereafter

MTD - maximum tolerated dose

To establish DLT(s), MTD, and Phase 2 dose range and schedule of BMS-833923 administered alone, in combination with two dose levels of lenalidomide plus dexamethasone, or with two dose levels of bortezomib in subjects with relapsed or refractory MM
For Treatment Arms A and B, outcome would be measured for approximately 5 months on Days 1, 8, 15, and 28 for Cycles 1 and 2 and then every 28 days for the following cycles
Use National Cancer Institute (NCI) common terminology criteria for adverse events (CTCAE) to establish the maximum tolerated dose, a recommended Phase 2 dose range and schedule, and safety profile of BMS-833923
On average a minimum of 60 days up to 3 years

Use NCI CTCAE to monitor safety assessments including physical findings, laboratory tests, and radiographic assessments to establish the maximum tolerated dose and recommended Phase 2 dose range and schedule of BMS-833923

Secondary Endpoints

The number of subjects experienced DLT
Within the first 28 days
Maximum observed concentration (Cmax) of BMS-833923 (XL139)
Day1 and Day 29
Trough observed concentration (Cmin) of BMS-833923 (XL139)
Day1 and Day 29
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1: BMS-833923 (XL139)EXPERIMENTAL -
All SubjectsEXPERIMENTAL -
Arm 1EXPERIMENTALBMS-833923 (Starting dose is a loading dose of 60 mg for 7 days with a 30 mg daily dose thereafter)
Arm 2ACTIVE_COMPARATORBMS-833923 (MTD or below) Lenalidomide (at or below the recommended prescribing dose) Dexamethasone (40 mg)
Arm 3ACTIVE_COMPARATORBMS-833923 (MTD or below) Bortezomib (at or below the recommended prescribing dose)
BMS-833923EXPERIMENTAL -

Interventions

NameTypeDescription
BMS-833923 (XL139)DRUGCapsule, Oral, 150 mg, 300 mg, or 450 mg,Once daily, Until progression of disease, unacceptable toxicity, withdrawal of subject's consent or meeting other discontinuation criteria
BMS-833923DRUGCapsule, Oral, starting dose 30 mg, once daily, continuous
CarboplatinDRUGVial, Intravenous (IV), dose to yield 5 mg/mL - min, once every 21 days, 1 day per cycle up to 4 cycles
EtoposideDRUGVial, Intravenous (IV), 100 mg/m²/dose, days 1, 2, \& 3 of each 21 day cycle, 3 days per cycle for up to 4 cycles
CisplatinDRUGVial, intravenous (IV), 80 mg/m² IV, Once every 21 days, 1 day per cycle until discontinuation from study
CapecitabineDRUGTablets, Oral, 1000 mg/m², twice a day (BID), 14 days per cycle, until discontinuation from study
LenalidomideDRUGCapsule, Oral, Once daily, 6 months
DexamethasoneDRUGCapsule, Oral, Once a week, 6 months
BortezomibDRUGPowder, IV, On days 1, 4, 8, 11, 6 months
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subjects with advanced or metastatic solid tumors refractory to, or relapsed from, standard therapies or for which there is no known effective treatment * Men and woman, 20 years of age and above Exclusion Criteria: * Subjects with symptomatic brain metastasis or active brai...

Countries:JapanUnited StatesAustraliaCanadaFranceIrelandNetherlands
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Frequently asked questions about BMS-833923

What is BMS-833923 used for?

BMS-833923 is an investigational small molecule studied in adults with advanced solid tumors and blood cancers. Trials have enrolled patients with small cell lung carcinoma, gastric and gastroesophageal or esophageal adenocarcinomas, multiple myeloma, and other advanced cancers, including a study conducted in Japan.

What does BMS-833923 target?

BMS-833923 targets SMO, short for Smoothened, a component of the Hedgehog signaling pathway. It acts as an antagonist, meaning it blocks SMO activity. The Hedgehog pathway is associated with several tumor types, which is the rationale for studying this compound in advanced cancers.

Who makes BMS-833923?

BMS-833923 is developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY. The compound is also referred to as BMS-833923 (XL139), reflecting an alternate designation used in study titles and publications.

What phase is BMS-833923 in?

BMS-833923 is in Phase 1 clinical development and is investigational. It has not been approved by the FDA for any indication. All four recorded studies of the drug were Phase 1 trials, and each of those trials is now completed, with no active trials currently listed.

What clinical trials is BMS-833923 in?

BMS-833923 has been evaluated in four completed Phase 1 trials: NCT01413906 in solid tumors in Japan, NCT00927875 with carboplatin and etoposide in extensive-stage small cell lung cancer, NCT00909402 with cisplatin and capecitabine in gastric and esophageal adenocarcinomas, and NCT00884546 in multiple myeloma.

Is BMS-833923 the same as XL139?

Yes. BMS-833923 is also known as XL139, and the two names refer to the same investigational compound. Study titles list it as BMS-833923 (XL139), so readers searching either name are looking at the same SMO antagonist developed by Bristol-Myers Squibb.